ALUMNI ASSOCIATION OF OSMANIA UNIVERSITY
Office of the Registrar, Osmania University, Hyderabad-500 007
(Regd.No.590 0f 2003)
MEMBERSHIP FORM
Alumni Information:
1
Name in Full: Prof. / Dr. / Mr./Mrs.
Dr.Parshuram.G
2
Present Position/ Designation
:
Consultant ENT Surgeon.
3
Address
No.3-3-100, Hospital Road, Karimnagar – 505001
4
Phone No
9848245555
5
Fax No
6
E-Mail
7
Name of the College from where he / she has studied last
Osmania Medical College.
8
Courses studied
MBBS, M.S[ENT]
9
Year(s) of Study : From - To
1959 to 1965 & 1969 to 1972
10
Payment for membership is being made as under
Cheque
11
Cheque / DD No
128234
13
Date
14-07-07
14
Bank
H.D.F.C.
15
Amount (Rs)
Rs 10,000/-